Individual
KENSIE LYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 S MCDONALD ST, STILLWATER, OK 74074-5220
(405) 880-1842
Mailing address
1005 S MCDONALD ST, STILLWATER, OK 74074-5220
(405) 880-1842
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1244
OK
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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